Medicina intensiva
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To evaluate SAPS 3 performance in Spain, assessing discrimination and calibration in a multicenter study. ⋯ Our study shows good discrimination of the SAPS 3 system in Spain, but also inadequate calibration, with differences between predicted and observed mortality. There are more similarities with regard to the general equation than with respect to our geographical area equation, and in both cases the SAPS 3 system overestimates mortality. According to our results, Spanish ICU mortality is lower than in other hospitals included in the multicenter study that developed the SAPS 3 system, in patients with similar characteristics and severity of illness.
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Multicenter Study Observational Study
Analysis of neutrophil gelatinase-associated lipocalin in the critical patient.
To determine if NGAL value exceeding 150 ng/mL is a good diagnostic test for acute renal failure in critically ill patients. ⋯ A NGAL>150 ng/mL does not seem to be an excellent test for AKI in critically ill patients but is associated with a worse prognosis.
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Multicenter Study Observational Study
Invasive device-related infections after heart surgery.
To analyze postoperative infections in critically ill patients undergoing heart surgery. ⋯ Of the patients included in the ENVIN-HELICS registry, 9.3% were postoperative heart surgery patients. The overall mortality was low but increased significantly in patients who developed one or more infection episodes.
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Multicenter Study Observational Study
[Medication errors in Spanish intensive care units].
To estimate the incidence of medication errors in Spanish intensive care units. ⋯ Medication errors are among the most frequent types of incidents in critically ill patients, and are more common in the prescription and administration stages. Although most such incidents have no clinical consequences, a significant percentage prove harmful for the patient, and a large proportion are avoidable.
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Multicenter Study
[Life-sustaining treatment limitation criteria upon admission to the intensive care unit: results of a Spanish national multicenter survey].
To determine the life-sustaining treatment limitation (LSTL) predisposition upon patient admission to the intensive care unit (ICU), the criteria upon which such predisposition is based, and whether these decisions are related to structural factors of the surveyed hospitals. ⋯ Admission to ICU with LSTL is a generalized practice in Spanish Hospitals. LSTL is decided based on physiological futility from an objective medical point of view, but also in observance of ethical and moral implications based on the qualitative futility of medical care.